Okaloosa County BOCC — December 2, 2014 — Stryker Support Documents — reading text

Okaloosa County Board of County Commissioners VENDOR 1. NOTE: 3. Indicate availability. 4. Print or stamp company name, address and phone number on each page. REQUISITION This form DOES NOT constitute an order. 2. Please quote unit and extended price. Crestview, FL 32536 850-689-5960 PAGE 1 REQUISITION R1500214 REQUESTED |] REQUIRED APPROVAL EMS BUYER 10/23/14 11/27/14 EMS NATHAN SHIP TO EMS VENDOR 20300052 OKALOOSA COUNTY STRYKER SALES CORP - MEDI EMERGENCY MEDICAL SERVICE 3800 EAST CENTRE AVE. 714 ESSEX ROAD PORTAGE MI 49002 FT WALTON BEACH 32547 ATIN: MIKE FRETGHT DESTINATION UN/ST COMMODITY STOCK NO QUANTITY UOM UNIT PRICE EXTENSION Please emait zy fa purct ape order CO BSIreTe Buct aIIdile. fax: (205) 449-4836 email: Brent}.Buchanan@stryker.com o1 6506000000 4.00 |EA 12,957.2400 51,828.96 O | POWER PRO XT STRETCHER WITH|]OPTIONS AS PER QUOTE REF # 3806436... 4500 564202 51,828.96 PAGE TOTAL 51828 « 96 10F4 (#or2)) 20F2 N/Q- MEANS NO QUOTE N/R - MEANS NO RESPONSE EMS Agency EMAIL R1500214 VEDDOR #} Requisition # TELEPHONE QUOTATION VENDOR NAME Stryker Moore Medical Common Cents EMS Supply} Nathaniel CONTACT! Buyer VENDOR PHONE 11/17/2014 VENDOR FAX! Date NOTES| Item Quantity Unit Description Unit Price |Extended Pricey Unit Price Extended Price] Unit Price Extended Price} EA [Stryker Power Pro XT Cot $13,457.24 }$51,828,96 $16,970.00 $67,880.00 {$16,295.00 $65,180.00 Bp lw [nw ~ lo 10 41 42 Total Total $51,828.96 Total $67,880.00] Total $65,180.00 Award Award ak Award Award 10F1 10F2C 20F2 N/Q - MEANS NO QUOTE N/R- MEANS NO RESPONSE TELEPHONE QUOTATION EMS Agency EMAIL] Sales@AMDnext.com R1500214 VEDDOR # Requisition # VENDOR NAME| AMD Nathaniel CONTACT| Buyer VENDOR PHONE 14/17/2014 VENDOR FAX) Date NOTES: Item | Quantity Unit Description Unit Price) Extended Price Unit Extended Price JUnit Price] Extended Price Price 4 6 "4 10 1. 12 Total Total Total Total Award Award Award Award ® . stryker Comprehensive Quotation Sales Account Manager Remit to: Brent Buchanan Brent.Buchanan@stryker.com Call: 270-217-4151 P.O. Box 93308 Chicago, iL 60673-3308 End User Shipping Address Shipping Address Billing Address: OKALOOSA COUNTY EMS oeneos A COUNTY EMS OKALOOSA COUNTY FINANCE DEPT PORT WALTON BEACH, FL 32647 PORT WALTON BEACH, FL 82647 “en gre 203 o ° CRESTVIEW, FL 32536 Customer Contact Ret Number Date PO Number Reference Field Quote Type Mike Baxley 3806436 10/16/2014 QUOTE Line a Di . # Quantity Item Description Part # Unit Price Extended Price Item Comments 1.00 4 Power-PRO XT 6506000000 $12,957.24 $51,828.96 Options 4 Power-PRO XT 6506000000 $12,602.69 $50,410.76 4 3 Stage IV Pole PR Option 6500315000 $279.45 $1,117.80 4 Fowler O2 Bottle Holder 6500241000 $211.41 $845.64 4 Pocketed Back Rest Pouch 6500130000 $209.79 $839.16 4 Head End Storage Flat 6500128000 $111.78 $447.12 4 Equipment Hook 6500147000 $42.12 $168.48 4 Single Wheel Lock 6086601010 4 PR Cot Retaining Post 6085033000 4 Power Pro Standard Components 6506026000 4 Siderail Option 6506031000 4 No RunnerfHE 02 0054200994 4 Non Power-Load Compatible 6506029000 4 Trendelenburg 6086031000 4 No HE Section 02 Bottio 6506036000 4 English Manual 6506600000 4 120V AC SMRT Charging Kit 6500028000 4 J Hook 6092036018 4 G-Rated Mattress 6506034000 4 No Steer Lock Option 6506037000 4 3 YR X-Frame Powertrain Wnty 7777881 669 4 2 Yr Bumper to Bumper Warranty 7777881670 4 DOM SHIP (NOT HI, AK, PR, GM) 0054030000 4 Customer Trade-In 9999999910 4 EMS RESTRAINT PACKAGE 6500002030 4 Discount 9999999912 ($500.00) ($2,000.00) Note: Product Total $51 828.96 Freight $0.00 Tax $0.00 Total incl Tax & Fretght $51,828.96 FB signature: Title/Position: Date: Deal Consummation: This is a quote and not a commitment. This quote is subject to final credit, pricing, and documentation approval. Legal documentation must be signed before your equipment can be delivered. Documentation will be provided upon completion of our review process and your selection of a payment schedule. Confidentiality Notice: Recipient wiil not disclose to any third party the terms of this quote or any other information, including any pricing or discounts, offered to be provided by Stryker to Recipient in connection with this quote, without Stryker’s priar written approval, except as may be requested by law or by [awful order of any applicable government agency. Terms: Net 30 Days. FOB origin. A copy of Stryker Medical's standard terms and conditions can be obtained by calling Stryker Medical's Customer Service at 1-800-STRYKER, Cancellation and Return Policy: in the event of damaged or defective shipments, please notify Stryker within 30 days and we will remedy the situation. Cancellation of orders must be recelved 30 days prior to the agreed upon delivery date. If the order is cancelled within the 30 day window, a fee of 25% of the total purchase order price and return shipping charges will apply. Page 1 of 1 Okaloosa County Capital Improvement Program eee ee eee ene Fiscal Years 2015-2019 ne ; [EMERGENCY MEDICAL SERVICES | FY Fund Amount Project Name Cat Narrative FY1S 450 $52,400 Ambulance Stretcher E Replace (4) Stryker Stretchers purchased 2008 FY15 450 $125,000 — LifePak 15 monitor/defibrillators E Match for 25/75 EMS Grant FYI5 450 $25,000 SUV ; EB Replace 2007 Expedition (7122 purchased in 2006) FY15 450 $75,000 Ambulance E Replace BLS van (17128 purchased 2007) FYI5 450 $145,000 = Ambulance E Replace 2007 Medium Duty (16940 purchased 2007) FYI5 450 $145,000 Ambulance E Replace 2008 Medium Duty (18234 purchased 2008) FY15 450 $145,000 Ambulance E Replace 2008 Medium Duty (18235 purchased 2008) FY16 450 $150,000 Ambulance E Replace 2009 Medium Duty (18375 purchased 2009) FY16 450 $150,000 Ambulance - E Replace 2009 Medium Duty (19082 purchased 2009) FY16 450 $150,000 = Ambulance E Replace 2009 Medium Duty (19081 purchased 2009) FY16 450 $93,000 Ambulance E Replace BLS van (17129 purchased 2007) FY16 450 $54,000 Ambulance Stretcher E Replace (4) Stryker Stretchers purchased 2008 FY16 450 $30,000 SUV E Replace 2006 Expedition (16478 purchased in 2005) FY16 450 $125,000 = LifePak 15 monitor/defibrillators E Match for 25/75 EMS Grant FYI7 450 $160,000 = Ambulance E Replace 2011 Medium Duty (19750 purchased 2012) FY17 450 $160,000 Ambulance EB Replace 2012 Medium Duty (19889 purchased 2012) FY17 = 430 $160,000 Ambulance E Replace 2011 Medium Duty (19750 purchased 2012) FY17 450 $160,000 Ambulance E Replace 2012 Medium Duty (19889 purchased 2012) FY17 = 450 $30,000 SUV E Replace 2006 Expedition (16477 purchased in 2005) FY17 = 450 $54,000 Ambulance Stretcher E Replace (4) Stryker Stretchers purchased 2008 FY17 = 450 $125,000 —LifePak 15 monitor/defibrillators E Match for 25/75 EMS Grant FY18 450 $215,000 ~ Ambulance E Replace 2013 Medium Duty (20026 purchased 2013) FY18 450 $215,000 Ambulance E Replace 2013 Medium Duty (20027 purchased 2013) FY18 450 $215,000 Ambulance E Replace 2013 Medium Duty (20028 purchased 2013) FY18 450 $54,000 Ambulance Stretcher E Replace (4) Stryker Stretchers purchased 2014 FY18 450 $125,000 = LifePak 15 monitor/defibrillators E Match for 25/75 EMS Grant